Sorry to hear about your situation. Thank you for supplying photos for review. As other doctors have pointed out, you have symmastia. Your breasts are too close to each other and you have obvious asymmetry. Additonally, your right nipple is laterally (to the side) displaced because of the inner displacement of the right implant. You will definitely require further surgery to fix this problem. If your implants are on top of the muscle, changing to a submuscular position with/without ADM or Seri will help. If you are already under the muscle, you will very likely require some support from ADM/Seri. I would suggest that your implants are too big and that you downsize. You may wish to consult with a different surgeon and get several opinions before proceeding with revisionary surgery. It would also be helpful to wait a few more months to make sure your swelling resolves and to see where the implants end up. Make sure you seek out a board certified plastic surgeon with experience in revisionary breast surgery. Good luck.
Thank you for the pictures I'm so sorry about your result. You definitely need a revision. Not for their breast being too close together for the obvious asymmetry of your breast and your nipples. I recommend downsizing your implants greatly and having a breast lift.
Your photos show that you have symmastia, or a lack of sufficient space between the breasts, as well as asymmetry. You will need revisional surgery to correct these problems.
As it is only three months after surgery and tissues are likely tight and firm, I would recommend waiting for further healing and relaxation of the tissues.... between 6 months to even one year from the surgery, depending on your exam. Seek a board certified plastic surgeon that routinely performs revisional breast implant surgery.
So I am sorry you are unhappy with your results, but if I am being completely honest and forthcoming, you have a right to be dissatisfied. Your before pics show that a mastopexy-augmentation would have been a great surgery for you. However, the execution of the surgery leaves a lot to be desired. Yes, you have some degree of synmastia where your breasts are close together. However, the degree to which your nipples are asymmetric (along with overall breast shape) is a bigger concern and can be a harder problem to fix. Revisionary cosmetic breast surgery is a major undertaking. My recommendation is to see several surgeons who specialize in this. I would back off on the size of your implants and depending on what technique was used for your lift, move both nipples into a more natural and cosmetically pleasing location.
I would not recommend such large implants be put in at the same time when mastopexy is performed - patient has to compromise on a size of an implant. I would seek an experienced Board Certified PS who specializes in revision surgeries.
Unfortunately, your pictures and history suggest the presence of several problems including breast asymmetry, recurrent breast sag and synmastia. These problems will definitely require surgical correction. Synmastia, in particular, can be an extremely difficult problem to fix and there's no consensus amongst surgeons regarding the best surgical approach. A variety of surgical options are currently available and these need to be tailored to meet the patient's specific needs.
Under these circumstances, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to perform a physical examination and formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
I'm very sorry to see and hear of your experience. You do have symmastia and a revision will be necessary. The revision will require the use of an acellular dermis to buttress the space between your implants. However he will also have significant nipple areola asymmetry which should be revised at the same time good luck.
Good news is your situation can be fixed but the bad news is that only another surgery can accomplish this. I would however suggest you wait another 2-3 months before such a procedure though. Your best bet will be to decrease implant size to prevent this from recurring and to use an ADM or SERI to support and redefine the lost separation between your breasts.
You definitely have synmastia. This requires a revision to correct. Ideally the revision would utilize a material such as SERI to prevent recurrence of this problem.
You have symmastia. you need revision surgery. Find a plastic surgeon that has experience correcting this problem. In skilled hands you should obtain good results.
Ary Krau MD FACS